A5019596193- Nosocomial Infections in ICU
- Pancreatitis Pathology and Treatment
- Clinical Nutrition and Gastroenterology
- Nutrition and Health in Aging
- COVID-19 Clinical Research Studies
- Clostridium difficile and Clostridium perfringens research
- Pancreatic and Hepatic Oncology Research
- Sepsis Diagnosis and Treatment
- European Monetary and Fiscal Policies
- Esophageal and GI Pathology
- Central Venous Catheters and Hemodialysis
- Pediatric Hepatobiliary Diseases and Treatments
- Botulinum Toxin and Related Neurological Disorders
- Neuroendocrine Tumor Research Advances
- Schizophrenia research and treatment
- Intensive Care Unit Cognitive Disorders
- Vitamin C and Antioxidants Research
- Thyroid and Parathyroid Surgery
- Stress and Burnout Research
- Long-Term Effects of COVID-19
- Venous Thromboembolism Diagnosis and Management
- Healthcare professionals’ stress and burnout
- Cardiovascular and Diving-Related Complications
- Biliary and Gastrointestinal Fistulas
- Chronic Obstructive Pulmonary Disease (COPD) Research
Istituti di Ricovero e Cura a Carattere Scientifico
2020-2024
Università Cattolica del Sacro Cuore
2014-2024
Agostino Gemelli University Polyclinic
2014-2023
University of Trieste
2015
Clostridioides difficile infection (CDI) is a risk factor for bloodstream (BSI). Fecal microbiota transplantation (FMT) more effective than antibiotics in treating recurrent CDI, but its efficacy preventing CDI-related BSI uncertain.To assess incidence of primary patients with CDI treated FMT versus antibiotics.Prospective cohort study. Patients and those were matched on propensity score.Single academic medical center.290 inpatients (57 per treatment cohort).FMT or antibiotics.The outcome...
Hospital malnutrition affects nearly 30% of patients in medical wards and correlates with worse outcomes. An early assessment is necessary to stratify the risk short-term outcomes mortality. The predictive role COntrolling NUTritional status (CONUT) score this context has not yet been elucidated Western countries. We aimed test CONUT at admission as a hospital outcomes, an Internal Medicine Gastroenterology Department Italian Tertiary Care University hospital.We prospectively enrolled...
Direct endoscopic necrosectomy (DEN) is a cumbersome, time-consuming procedure that can be necessary in cases of infected pancreatic walled-off necrosis (WON) not responding to ultrasound (EUS)- guided drainage only. Until now, DEN has been performed with non-dedicated devices, thus requiring multiple, long-lasting sessions achieve adequate clearance necrotic content. These results prolonged hospital stay, increased costs and have potential consequences for patients who must undergo multiple...
Sepsis is a life-threatening disease resulting from the interaction between pathogen and host response; its dysregulation causes organ dysfunction, high morbidity, mortality. Despite increase of septic patients admitted to Internal Medicine wards, data about clinical predictors mortality in this setting are still lacking. The aim study was evaluate role MEDS score vitamin D as (28-day 90-day) department.Prospectively collected data, lab tests including D, scores (SIRS, MEDS, SCS, REMS, SOFA,...
Background: Refeeding syndrome (RS) is a neglected, potentially fatal that occurs in malnourished patients undergoing rapid nutritional replenishment after period of fasting. The American Society for Parenteral and Enteral Nutrition (ASPEN) recently released new criteria RS risk diagnosis. Real-life data on its incidence are still limited. Methods: We consecutively enrolled admitted to the Internal Medicine Gastroenterology Unit our center. prevalence were evaluated according ASPEN. length...
Background: The management of septic patients hospitalized in Internal Medicine wards represents a challenge due to their complexity and heterogeneity, high mortality rate. Among the available prognostic tools, procalcitonin (PCT) is considered marker bacterial infection. Furthermore, an association between vitamin D deficiency poor sepsis-related outcomes has been described. Objectives: To evaluate accuracy two consecutive PCT determinations (Delta-PCT) levels predicting population with...
A 67-year-old man with a 15-cm pancreatic necrotic collection was transferred to our unit after 2 months' hospitalization for necrotizing pancreatitis. His conditions poor, decreased mental status, high fever, neutrophilic leukocytosis (white blood cells 27.6 × 109/L, neutrophils 93.1 %), and signs of sepsis (C-reactive protein 150.5 mg/L, procalcitonin 9.83 ng/mL).
A 41-year-old man with acute pancreatitis of unknown etiology developed a 17 × 8-cm walled-off necrosis (WON) that was drained percutaneously. The purulent fluid grew Klebsiella and Candida albicans. After transfer to our hospital, endoscopic ultrasound (EUS)-guided drainage performed, 20 10-mm Axios stent placed. solid component the WON about 90 % direct necrosectomy (DEN) scheduled. DEN started 3.2-mm EndoRotor catheter broke after few minutes use. following day, new 6-mm utilized in...
Superior vena cava syndrome is characterised by dyspnoea, headache, facial oedema, and venous distention in the neck, upper chest arms. These symptoms are bilateral. A 47-year-old woman reported appearance of ectasias right side her chest, face neck. The patient was affected systemic lupus erythematous with antiphospholipid syndrome and end-stage renal disease. She on haemodialysis via a subclavian central silicone, double-lumen, tunnelled catheter (central catheter, CVC) because previous...
Summary 141 patients with an ICD-9 diagnosis of schizophrenic psychosis were followed up prospectively for 3 years in 7 Italian centres, representative the different degrees application psychiatric reform law (Law 180) passed 1978. It was agreed that each centre would treat according to its routine, and all contacts intervention performed be carefully recorded ad hoc schedule. The baseline evaluation psychosocial adjustment by Disability Assessment Schedule (DAS), this assessment then...
An 80-year-old woman presented with a 1-year history of recurrent right upper quadrant colicky pain. Her medical included abdominal surgery, ischemic stroke impaired mobility, and obesity (body mass index > 30.1 kg/cm2).
Schizophrenia is a chronic disorder which severely limits the social and occupational functioning. Employment, education, relationships, housing health are among most frequently stated life treatment goals persons suffering from schizophrenia. Rehabilitation for with schizophrenia aims at preservation improvement of psychosocial functions, promotes recovery-oriented interventions and, therefore, serves central affected persons. The these models focus on improving knowledge, coping,...
Intralobar pulmonary sequestration is an uncommon congenital lung anomaly which consists of a mass normal tissue not connected to the tracheobronchial tree and supplied by anomalous systemic artery. Carbohydrate antigen 19-9 (CA 19-9) widely accepted as tumour marker for biliary, pancreatic gastrointestinal cancer. However, CA may also be increased in patients with benign disease. We describe case 56-year-old woman intralobar who underwent unnecessary extensive diagnostic abdominal...